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1473 Rocky Lane
INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 Control No. 0to I1.01"A 0*0612 06/81/9? SITE ADDRESS: L O T ? 4 1473 ROCKY 1ANE k INGS WOOD NTH PERMIT RQBTYPE: wfi "I o t r i APPLICANT: JOHNSON CONSTRUCT100 N W (612) 432-6838 TYPE OF WORK: M pr"ARKs: RECEIPT • S&W 01.9R. Penn it No. Permit Holder Date Telephone # S/W PPWMBING HVAC ELECTRIC C7V ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation L n Frame ? ?'} 7-0 P"Ir- q/Lb 5; -71 o L Urvs ,v rxu.S C Rkg 7.2Z 9 z_ i v ; f r s ?a Rough Plbg, Rough Mtg. Isul. 4z AP i , r r /U?"v /1 ice, s- r9i Fireplace r f-C r ?l/Z - X71 -LZ-N 2 - Final Mlg. z ("q, S Orsat Test Final Pibg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPtan Bldg. Final Deck Ftg. Deck Final wen Pr. Disp. 0b4clwp ? S "f; r WoF 1,7 7--' ?- $ (Intifiratt of Mrruparry Citp of Cagan Mrputmd of shat" rrfim nis C.erttfu ate issued pursuant to the regWrements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure wws in conpliance with the various ordinances of the City regulating building construction or use. For the following: hie CbmiBmd" S F DWG Bmt. alit tim 672 0-V8--Y TM R-3 M-1 zojr4n R-1 TMC,,,,d V-N of * M W JOHNSON CONST ,mw 14251 CEDAR AVE oww WA HmUnAddms 1473 ROCKY LN L- L4, B1, KINGS WOOD 5TH :I D.oc AUG 25, 1992 POST IN A CONSPICUOUS PUKE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: INSPECTION RECORD PERMIT TYPE: Permit Number: ?? •' ?1 •' `? Date Issued: dllili? 9 j A L L .wv 2 ?i /.v ll ' I I.I I I rll.k ?r I ANI I 1111, . 11111111 I (? PERMIT SUBTYPE: I ti; 1 11 F L q H I t11 V APPLICANT: I I ?fl f ??i. 11 TYPE OF WORK: NI 11 1 1 I f I{ 1111 r, Of r M: F NI°. I Mot- is 7 I Of (4Alib',= A 'it PARA1L Pf kW I 1 1 •. RVU111141 II I IIH ANY F I I I. I1.,tI At IJoRP Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings t Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr.IPlan Bldg. Final Deck Ftg. Deck Final m - r L III 1 Well G 4G?/?l?sr `f S/! S STiG Pr. Disp. v - 2 ?103 -,Oo Address: 1473 ROCKY LN Lot 4 Blk 1 Sec/Sub KINGS WOOD 5TH These items were/were not complete at the time of the final inspection. Date: AUG 25 1992 Yes No Tnqpprror! Final grade (6" from siding) V" C?aial+. co r Y Permanent steps - garage Permanent steps - main entry ? Permanent driveway L Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy 9 o?? Request oats fire No. Roughin Inspection Required9 ? Ready Now 2Y?ill Notify Inspector ?'es G No hen Ready? Icensed contractor ] owner hereby request inspection of above electrical work at: Job Address (street. Be. or Route N0.) /x/73 x 4 City N Section No. Township Name or Range No. County Occupant (PRINT) Phone No. Power Supplier S /? gtltlress Electrical Cont/r?a/ct or (Company Name) /(/?J y/ Contractors License No. C _ Mailing Address IComractor or Owner Making Installation) ?Y --- Ault Y2 gnatm nlramOriOwner Makintif Installation) / o_ Pf ne Number s-??-? TE D OF EL CTR TY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)842-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION See instructgns for completing this form on back of yellow copy. 06309 X" Below Work Covered by This Request EB-OW01-08 e Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other lspecify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: TOTAL % ? Irrigation Booms ' Zo Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. s 1. the Electrical Inspector, hereby Rough-in Date / `se ?'^ certify that the above inspection has been made. Final b yv OFFICE USE ONLY 4ris request void 18 months Irom RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN a? 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes: poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE U SITE ADDRESS /T-7 J 1`0 c TYPE OF WORK MULTI-FAMILY BLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 SELA ROOFING & REMODELING. I- APPLICANT .100 €XC€L.SIEIR RL+'VP. STREET ADDRESS ST. LOUIS PARK, MN 55416 CITY STATEZIP 'w ?uuu'ua TELEPHONE #LeIZ-`623-$?D?{(o CELL PHONE # FAX # PROPERTYOWNER Uy") ? ^ S6? TELEPHONE# ?Y l 1') Tp COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor. Phone # Phone # Fee: $70.00 --------------------------------------------------------------------------------°--- - --------- I hereby acknowledge that I have read this application, state that the information t rrd0l aleck with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant "°--------------- ----------------- ---_ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Water Softener Water Heater No. of Baths RemodeVReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions Phone # Lawn Sprinkler No. of R.I. Batas Air Conditioning Heat Recovery System VALUATION t D 1 ) --) 1.---1 S Fee: $90.00 Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Pibg_Y or - N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ _ Siding Stucco Stone _ _ Fireplace _ R.I. -Air Test _ -Final _ _ _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY USE ONLY LOT /_l? B' L / KK RECEIPT #: E9 9115- % SUBD. "cYiN ? "i .i RECEIPT DATE: j! d 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN. MN 55122 (612) 6814675 Date: Complete this section only if you are installing HVAC in single family, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 MB T U $ 24.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes. or condos. Add-on furnace Add on air conditioning . Add-on air exchanger, i.e. Vanee system, etc.- Other . Minimum fee applies to all remodel or add-ons of existing residences S 20.00 State Surcharge 50 Total: $ 20.50 SITE ADDRESS: 1473 ROCKY LANE OWNER NAME: JOHN PETERSON INSTALLER NAME: RON'S MECHANICAL, INC. STREETADDRESS: 12010 OLD BRICK YARD RD CITY: SHAKOPEE PHONE #: 686-8798 PHONE#: 445-8585 STATE: MN ZIP: 55379 ° ;d'a Q)b2? SIGNATURE OF PERNIITTEE CITY USE ONLY L SL SUED. RECEIPT#. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: . $25.00 minimum fee or 1% of contract price, whichever is greater. Processed piping - $25.00 State surcharge of $.50 per $1,000 of nni fee due on all permits. CONTRACT PRICE x I% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS OWNER NAME: TELEPHONE M TENANT NAME: (IMPROVEMENTS ONLY) - - INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE #: all commercial/industrial buildings. multi-family buildings when separate permits are no required for each dwelling unit SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: INSPECTION RECORD PERMIT TYPE: BUILDING Permit Number: 024125 Date Issued: 07/15/94 LOT: 1473 ROCKY LANE KINGS WOOD 5TH PERMIT SUBTYPE: SF PORCH 4 BLOCK: APPLICANT: 1 PETERSON JOHN (612) 686-8798 TYPE OF WORK: NEW DESCRIPTION (DECK INCLUDED) L J REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK CITY & EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: a?y?5 BUILDING 024125 07/15/94 SITE ADDRESS: 1473 ROCKY LANE LOT: 4 BLOCK: 1 KINGS WOOD 5TH P.I.N.: 10-42004-040-01 DESCRIPTION: REMARKS: ar ? A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY- Base Fee Surcharge Total Fee (DECK INCLUDED) .ld g?Permit Type SF PORCH Yding Work Type NEW t VALUATION $72.00 $2.50 $74.50 $5,000 CONTRACTOR: OWNER:` - Applicant - PETERSON JOHN 1473 ROCKY LN EAGAN NN 55122 (612)686-8798 I I hereby ae'knowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Min. Statutes and City of Eagan Ordinances. L_ I &R14 V y-A rhA APPLICANT/PERMITEE SIGNATURE ISSUED B SIG URE I -? ?-?- deck CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION s qO /O 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, i registered site sur eys, eal as. .1111 _ 12 1994 COMMERCIAL of 2 sets of architectural & structural HDS, 1 set _ specifications, 1 copy of energy calcs. - " -- Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work ZO O d - ?? Site Address: ROcKJ LArnr2 STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. J? II P.I.D. # // Description of work: De-6 K by' 0 W ArCA r?- The applicant is: Owner 0 Contractor 0 Other (Describe) Name PeTek SON . 0fl(N Phone J LA M Property LAST FIRST Owner l Y _1 3 ROCKY LAN-( Address STREET STE # City State m N Zip SS t 22 Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is of Minnesota Statutes and City of correct and agree to comply with all applicable Stat Eagan Ordinances. p I J Signature of Applicant: I V OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory Er 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. G3-,15 Deck WORK TYPE Zr 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? 35 Tenant Finish ? 36 Move Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? .Site a Footing ? Framing ? Wallboard C Final ? Draintile ? Insulation ? Fireplace Permit Fee Vatuation. -5- ,9 00 Surcharge i Plan Review - /gyp - %?dc License (21 1,-2 MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: ? 1CrBasepienja i.ntsh ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code 'y SAC Code Census Bldg Census Unit -? Assessments SAC % SAC Units ESA+S h+i+~w i G-L , 5?,3, 5 - G ZD©aN Ai ?r tiQn? / ay' our' S? n V4 1 ? ` /g4 $ 90,3 4 ?:)?n ?\ c ? ? ,tea Q y t whiz.-r?A P,LI BEA.RItdGh A5hc7ME0 o_be-:MOTCt5zrxl. Ielon>uM t1T ?tiwtr,y w?t7 9B,k 9% lip 74 Q / gy e? ioa; ry n N N n6 ? \5 U x ? 140 a a -42 ? o W o? i v I hereby Certify that this survey was prepared by me or under my direCt supervision and that I am a duly Registal•,.d Land Surveyor under the Laws of the State of Minnesota. Date- M Lego Bohlen T- Registered Land Surveyor No• ' L.O? Ar ? ESI..OG.IC-. 1 ? ?43Z - (V 2 1 2- INSPECTION RECORD Control No. 0551 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000672 Eagan, Minnesota 55123 Date Issued: 06/01/92 (612) 681-4675 SITE ADDRESS: LOT: 4 BLOCK: 1 APPLICANT: 1473 ROCKY LANE JOHNSON CONSTRUCTION M W KINGS WOOD 5TH (612) 432-6838 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION TYPE FOOTING .DATE INSPIM. INSPECTION TYPE FRAMING DATE INSPTPI. INSULATION FINAL FIREPLACE REMARKS: RECEIPT N F S&W PLBR. PERMIT CITY DF PAGAN 3830 Mict Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: SF DWG. NEW R-3 N-1. VN R-1 68 .52. Buiidi7n,g Permit Type Building?Work Type r UBC Occupanby Construction 'Type Zoning ?- Building Length .' Building Width j i Sri';.., ? {Y BUILDING 000672 06/01/92 REMARKS RECEIPT B S&W PLBR. FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC 8 SAC Units Subtotal 1473 ROCKY LANE LOT: 4 BLOCK: 1 .. .. KINGS WOOD 5TH $818.00 $531.70 $75.60 $700.00 100 $2,125.20 PERMIT TYPE: Permit Number: Date Issued: $161,000 NISC FEES $1,610.50 Total Fee $3,735.70 CONTRACTOR: - Applicant - ST. LI OWNER: JOHNSON CONSTRUCTION N W 14326838 000220 JOHNSON CONST N W 14251 CEDAR AVE 14251 CEDAR AVE APPLE VALLEY ON 55124 APPLE VALLEY ON 55124 (612) 432-6838 (612)432-6839 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Nn. Statutes and City of Eagan Ordinances. ?11u.n ? a NA IJ SSUED [?IGNA R APP ANTIPERMITEE S GNATURE I Y Control No. 0551 PERMIT # 72 - CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION vz? 681-4675 4AY 2'_1 RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural.& structural plans, 1 set of specifications, 1 copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day . of month in which re uest )s made or lot change is re guested once Remit is issued. Date MAY / 20 / 92 Valuation of work 143,041.00 S' Address: 1473 ROCKY LANE, EAGAN STREET STE M Teaant.Name: ?coBmfevcial only) LOT 4 BLOCK 1 suBD. KINGS WOOD 5TH ADDT. P.I.D. / . Description of work: b w( M The applicant is: ? Owner =contractor ? Other (Describe) Name MW JOHNSON CONSTRUCTION Phone 432-6838 Property LAST FIRST Owner Address 14251 CEDAR AVE. STREET STE # City APPLE VALLEY, State MM Zip 55124 Company MW JOHNSON CONSTRUCTTON Phone 432-6038 Contractor Address 14251 CEDAR AVE License # Exp. -_ OG=02-207 City APPLE VALLEY. State MN Zip 55124 Company CHARLES PHILLIPS DESIGN Phone 4.32-4290 Archite ct Engineer r Name CHARLES PHILLIPS DESIGN Registration # Address 14263 CEDAR AVE. SO. City APPLE VALLEY, State MN Zip 55124 Sewer & water licensed plumber Processing time for sewer & water permits is two days once area as been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish §( 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 Fireplace ? 11 Res. Add. ? 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch WORK TYPE hr 31 New ? 33 Alterations ? 35 Move ? 32 Addition ? 34 Tenant Finish ? 36 Demolish GENERAL INFORMATION Const. (Actual) \/-N Basement sq. ft. IAl,owablel \? l,ct. Fl. sa. ft. UBC Occupancy - ' M-I 2nd Fl. seq. ft. Zoning 2 -I Sq. Ft. total i of Stories Footprin t Sq. ft. Length b 8? On-site well Depth 52' On-site sewage APPROVALS Planning Building ?- Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final O Framing ? Draintile ? Insulation ? Fireplace Permit Fee BI a,o_> Surcharge 5,5t? Plan Review S3 ,'10 License mwrr SAC 700,0,2_ City SAC 100,00 Water Conn. ror15,00 Water Meter g5100 Acct. Deposit p,p 0 S/W Permit 30:00 S/W Surchargge y0 Treatment Pl. 300,00 Road Unit 310,00 Park Ded. Trails Ded. Copies Other Total: SAC % 00 SAC Units I vatuatfm: f I S I, 000 GA?iA(76 A.0 x? 2= ?xlz? 32xzs ? $9?. r?fx•4l = (56) Z x 11'?Z % (23) Ir1 x 15:: l6ii Y53 Ss, 39-,Aj ZND i=?oo?4 ab><3o:. 7?So l 2 Z SS' "M * ?c2 .53 % 41 97(. l 5 0/ y9U MAW 1_EVC-t_ uyo 1B,5MT= 017 X40 ePx7-::- iy 16'A =7so eo x t6 = Iggso ..--- ? 13 Comm/Ind New ? 14 Comm/Ind Add ? 15 Comm/Ind Rem ? 16 Public Fac. ? 17 Agricultural MWCC System y4ES City Water PRY Required _ Booster Pump Fire Sprinkler Census Code SAC Code o Assessments EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER SITE ADDRESS CONTRACTOR aT LfI BLOCK I, TI DATE PHONE Determine working square footage of each. 1. Total exposed wall area ..... Z Z-Z sq. ft. X 2. Total roof/ceiling area llv ci sq. ft. x 021p° i Total exposed wall of =a above floor = _ I RrI a. Total wall window area ........................... b. Total door area ... .......... C. Total sliding glass door area .................... & Total fireplace wall area........ ... ....... -?? e. Total wall framing area (average 10%)...:........ _I *id' . f. Total net wall area above floor .............. ??an,D f?+• g. Total rim joist area ........................... ?G.? Total exposed foundation area = i 7 4, h. Total foundation window area................,..:: __- i. Toal net foundation area above grade .......... Determine "U" value of each wall segment. a. Z'?t P.,_ X ,U, C. X ..U J d, --- X ,1Uil g. 1P?b,a!? X ,Ul ?y 1 = '7.33 h. X lull 22 Z Lc> 8 .Total = Zi ! If item #3 is the same as, or less than item N1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = 1(a M Total gross roof/ceiling area = 16 j. Total skylight area ........................ k. Total roof/ceiling framing area ............ Iln 7.C'i 1. Total net insulated roof/ceiling area........ 1,4 r7 S Determine "U" value for each roof/ceiling segment. k. l, R X „ul 4 Z 1. l47s,I X „D,, oZ _ Z"4 4 ...................?? r 1........ Total a .... If total of #4 is the same as, or less than #2, you have met..the intent. of SBC 6006(c)1. To utilized the total envelope system method, the values-established by the sum of items 03 and #4 shall not be greater than the sum of items #1 and #2. 1. + .2 _ 3. t 4. _ MATERIALS Therm. Resistance "R"' Exterior Air I.n Siding material - 4 S Sheathing Z_. L) n_ Insulation 19 Sheetrock q S Interior Air Studs ?. RibL 4 P, Conc. Elks. z G ? `i 1%1.1 -Cfl.E" .b?-ac.w fit., ?9t.4+ ?oASra :AU?w % -?.. 8 3.5 11 ` 41 Zo ov ?' o?LP\ ? \ ?10 /i CP 4, S n 1 ?? ? ?c.w 89a• i 1 -pip ?\ I o SSA p I?PCS . \1 =o G3 •4$ WP V Lm T A- t?t?a4y WOOD 5 th a.aa.-c ? a ?+ ? ap,K?A C,E,vtJ`I^(? MIµ?J?T'A s? 3C /0 , . F k . o eo $?yg„p 4? ? B r-.?p?z.-rH a ?gA, F` 2 3` ?,4 g?p,>,?ItJGS A.y?UMEO o-D?NO??j l5Zae1 MoNUM?13T 19 R A?j NN 41 - oP0,07 a A, ?e ? M m,co' 4! 0 -IV JIV V/ Q 00 0 By Da 7/- EAGAN ENGINEERING DEPT I hereby certify that this survey was Prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Ix 1001, Dates M '???---- LeRoy Bohlen ?; Registered Land Surveyor NO. 107 A-? 2- Gv$'7Z CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN CLAIMANT WENZEL MECHANICAL ADDRESS 1959 SHAWNEE ROAD EAGAN, MN 55122 Location Receipt No./Date Reason for Refund Type of Refund 01-2155 $ 20-3713 $ 20-3743 S 20-2252 S 20-2250 S S S TOTAL $ 74.00 I declare under the pennltfes of law that this account, claim or demand is just and that no part of it has been raid. -71? '?L' 8/14/92 S gnature Date 1473 ROCKY LANE L4, B1, KINGS WOOD 5TH 106563/6-24-92 REFUND PER M.W.JOHNSON, BLDG. CONTRACTOR-WENZEL IS NOT WORKING ON THIS PROJECT Electrical Permit Plumbing Permit Hechanical permit 01-3211 $ 01-3212 S 74.00 01-3213 S Surcharge Water Connection Permit Sewer Connection Permit Account Deposit Utility Account Over-rayment Other: U1TT Ur EAU" run U11I USr: UNLX 3630 PILOT KNOB ROAD EAGAN MN 55122 PERMIT PHONE (612) 454-6100 RECEIPT # CP 3U3BiNG p DATE: 6SIDENTIl1L``. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ -----------------------___--- WORK DESCRIPTION NEW CONST ADD ON _ REPAIR OWNER NAME: SITE ADDRESS: 4?e LOT: BLOCK SUBD. INSTALLER: ADDRESS CITY: ZIP: Jy?/c?cZ- PHONE # : COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 3: DD WATER CLOSET 3.00 Jd,00 BATH TUB 3.00 r/. 00 LAVATORY / e 3.00 40 KITCHEN SINK K 3.00 X00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLAOR DRAIN 3.00 3 0 GAS PIPING OUT. 02 (MINIMUM - 1) 3.00 6,00 _ ROUGH OPENINGS 1.50 OTHER _ WATER SOFTENER 5.00 5-40 _ PRIVATE DISP. 15.00 L U.G. SPRINKLER 3.00 3,,20 SUBTOTAL S ST. SURCHARGE .50 TOTAL: S 7?I. SD PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLACK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE FOR: ZIP: FEES 19 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE X 1% STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN Y OF EAGAN 0 6 72S?S L L B CIT MECHANICAL PERMIT RECEIPT # SUBD. ?-* (612) 681-4675 DATE -1 - 69 - ci RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR. SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR TOWNHOMESICONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER; C) F EES SITE ADDRESS: ADD ONMEMODEL (IMS11NG $ 15.00 CONSTRUCTION ONLY) INSTALL ER: HVAC: 0.100 M BTU 24.00 PHONE #: V ADDITIONAL 50 M BTU 6.00 ADDRESS:- C) _ - ID GAS OUTLETS - MINIMTJM I @ $3 2 CITY: ZIP: SURCHARGE: I s 50 SIGNATURE _ Y TOTAL: $ COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCLAIANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER: SITE ADDRESS: TENANT: SUITE #: INSTALLER- ADDRESS: CITY: PHONE #: SIGNATURE- CONTRACT PRICE: I FEES 1% OF CONTRACT FEE STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 F$ 11HNDHUM FEE - $25.00 TOTAL: CITY SIGNATURE: ZIP: CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 1m::G>' FOR CITY USE ONLY PERMIT # RECEIPT DATE: li"??#;M14?`•_ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & . . TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _ ADD ON REPAIR OWNER NAME:` SITE ADDRESS: `?13 H?Yt? LOT: BLOCK __?L SUBD. U / S INSTALLER: ADDRESS Q% COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 °O BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 •`° I LAUNDRY TRAY 3.00 3!-Yo _ HOT TUB/SPA 3.00 WATER HEATER 3.00 ?O FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 L'c ROUGH OPENINGS 1.50 sv OTHER _ _ WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL cy'o ST. SURCHARGE .50 TOTAL: $ y1.a? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN ZIP: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $_ STATE SURCHARGE $_ TOTAL: (SIGNATURE) CITY:` ?4f_ ZIP: 553D O PHONE #: ?L Yk? For Office Use D ing Permit City of Ea dIl Permit Fee: ~ < 3830 Pilot Knob Road I Eagan MN 55122 Date Received: - Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Gtnd g/,/ Date: 9Z 0 Site Address: /Y73 120 O 7 L r~It. L Tenant: Suite RESIDENT / OWNER Name: 'J6 ( T . S(r`\ Phone: 6O S 1 7 3 S S 6 ?G Address / City / Zip: ( RO c Applicant is: Owner Contractor TYPE OF WORK Description of work: Lo L Z c -v--( IN t S Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes X No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of k v1 approval of plans. x d,.,, rn , ji -IJ L Applicant's Printed Name K, 0 zone 9x__ Applicant's Signature Page 1 of 3 ILI 73 DO NOT WRI'E BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3-Season) Storm Damage Single Family Garage Porch (4-Season) Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy LYL&- 4L MCES System Plan Review Code Edition _-0 SAC Units (25%_ 100%J Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final I C.O. Required Footings (Addition) Final I No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: _Rough In _Air Test -Final Windows t Insulation Retaining Wall Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review C(~ MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 F Uffv c Usc City o aaPermit 3830 Pilot Knob Road Permit Fee: 3 Q Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL P LUMBINLG PERMIT APPLICATION Date: 817 dc f Site Address: `7 1 ?`-r~ t~ 1~`~ Tenant: Suite RESIDENT / OWNER Name:-, ~o Yl h (T < T-"E ejo, S 01`1 Phone: G c 1 3 3 S S 6 q Address / City / Zip: 1' -4 3 -'4" -Q CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK New _ Replacement Repair Rebuild 2- \Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation x Add Plumbin Fixtures RPZ / _ PVB) Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) `Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance Kith the approved plan in the case of work which requires a review and approval of pla x \Z rX H F)e_'fcA_5 V' x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-In Air Test Gas Test Final City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1473 Rocky Lane Lot: 4 Block: 1 Addition: Kings Wood 5th PID:10- 42004 - 040 -01 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 Surcharge - Based on Valuation $3K BL - Base Fee $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040 $1.50 $88.50 $90.00 Owner: John H Peterson 1473 Rocky Lane Eagan MN 55122 9001 0801 Issued By: Signature Building EA076379 01/10/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State PERMIT City of Eagan Permit Type:Building Permit Number:EA117356 Date Issued:10/17/2013 Permit Category:ePermit Site Address: 1473 Rocky Lane Lot:4 Block: 1 Addition: Kings Wood 5th PID:10-42004-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Matt Dlouhy Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John H Peterson 1473 Rocky Lane Eagan MN 55122 Roofs R Us 1922 26th Ave St. Paul MN 55122 (612) 282-8092 Applicant/Permitee: Signature Issued By: Signature FRAMING > 4 walls ELECTRICAL > Seperate 20a GFI circuit > Seperate 20a GFI WP tub > Overhead fan PLUMBING > Tub > Sink > Toilet door at top of stork's FIRE STOP SOFFITS AND ALL OTHER DEAD SPACES. egress window well weU VP tub 11 u wash dry Laundry Room rOlihDAliION V\ALL MOISTURE BARRIER IS REQUIRED BETWEEN INSULATION AND FOUNDATION WALL. -ROM P n(YR, T(? GRADF SMOKE DETECTORS ARI REQUIRED ON EVERY LEVEL OF THE AOUSE AND IN EVERY SLEEPING ROOM AND "N EVERY HALLWAY LEADING TO A S EEFING ROOM FRAMING > 3 walls Proposed Rec Room A CARBON MLt' L)A Lie INSTALLED IN ALL NEW SINGLE FAMILY AND MULTI FAMILY DWELLING UNITS. ELECTRICAL > 2 seperate 20a AF circuits. >Overhead lights PLUMBING > none A VAPOR t3 ;FIE MUST I S LED Tim WARM WM. OF ALL WALLS AND ATTIC CEPAG. G. furnace HRV S/EG D Shop/Storage Utility Room HD 0 sub panel 0 water In concrete block wall ExIsting framIng In green Existing fixtures In blue Fixtures L framing to be Installed In magenta bench shelving EAGV1/ED !r '�CT ONS DIVISION PERMIT City of Eagan Permit Type:Building Permit Number:EA145758 Date Issued:09/25/2017 Permit Category:ePermit Site Address: 1473 Rocky Lane Lot:4 Block: 1 Addition: Kings Wood 5th PID:10-42004-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John H Peterson 1473 Rocky Lane Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature